How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $323.59 Median $323.59 Typical High $1,202.26 | Facility | None | $323.59 | $323.59 | $1,202.26 |
Aetna Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $478.63 | Professional | None | $323.59 | $323.59 | $478.63 |
BCBS South Carolina Setting Facility Modifier None Typical Low $40.74 Median $194.98 Typical High $2,454.71 | Facility | None | $40.74 | $194.98 | $2,454.71 |
BCBS South Carolina Setting Professional Modifier None Typical Low $302.00 Median $389.05 Typical High $489.78 | Professional | None | $302.00 | $389.05 | $489.78 |
Cigna Setting Facility Modifier None Typical Low $794.33 Median $1,047.13 Typical High $2,570.40 | Facility | None | $794.33 | $1,047.13 | $2,570.40 |
Cigna Setting Professional Modifier None Typical Low $208.93 Median $263.03 Typical High $501.19 | Professional | None | $208.93 | $263.03 | $501.19 |
Medcost Setting Facility Modifier None Typical Low $323.59 Median $389.05 Typical High $1,202.26 | Facility | None | $323.59 | $389.05 | $1,202.26 |
Medcost Setting Professional Modifier None Typical Low $275.42 Median $562.34 Typical High $588.84 | Professional | None | $275.42 | $562.34 | $588.84 |
United Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $501.19 | Facility | None | $371.54 | $371.54 | $501.19 |
United Setting Professional Modifier None Typical Low $173.78 Median $281.84 Typical High $501.19 | Professional | None | $173.78 | $281.84 | $501.19 |
3 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $162.18 Median $162.18 Typical High $165.96 | Professional | 52 · Reduced service | $162.18 | $162.18 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $64.57 Typical High $66.07 | Professional | 53 · Discontinued | $64.57 | $64.57 | $66.07 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $138.04 Median $281.84 Typical High $389.05 | Professional | 51 · Multiple procedures | $138.04 | $281.84 | $389.05 |
Where South Carolina sits
The same service costs 5.4 times more in Alaska than in Alabama. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
South Carolina· 43rd of 51
$324
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.